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Duodenal Atresia

Pascual J"CP - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Duodenal Atresia

History: 5 day old premature male infant delivered at gestational age 28+1 weeks by emergent C-section section due to fetal distress. Stabilized in NICU and on TPN.

Findings: • Abdomen, portable Portable frontal x-ray of abdomen demonstrates abnormal bowel gas pattern with large gastric bubble and no appreciable bowel gas in remainder of abdomen. • Abdomen, portable Air visualized within gastric bubble and terminates abruptly in proximal duodenum consistent with double-bubble sign. Dilated duodenal bulb indicates chronic obstruction. • Limited fluoroscopic upper GI series, pre-op Antegrade movement of contrast through pylorus to first part of duodenum with no further antegrade movement during study.

Ddx: Double bubble (by definition, no distal gas) is diagnostic of Duodenal Atresia, but if the obstruction were not complete, the following diagnoses would also merit consideration. Duodenal stenosis Duodenal obstruction secondary to annular pancreas Preduodenal portal vein Jejunal atresia with fluid in jejunum Malrotation with midgut volvulus

Dxhow: Surgery

Exam: Scaphoid abdomen with localized epigastric distention

No MeSH data available.


Antegrade movement of contrast through pylorus to first part of duodenum with no further antegrade movement during study.
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Related In: Results  -  Collection

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MPX1995_synpic41979: Antegrade movement of contrast through pylorus to first part of duodenum with no further antegrade movement during study.


Duodenal Atresia

Pascual J"CP - MedPix (2008)

Antegrade movement of contrast through pylorus to first part of duodenum with no further antegrade movement during study.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1995&req=5

MPX1995_synpic41979: Antegrade movement of contrast through pylorus to first part of duodenum with no further antegrade movement during study.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Duodenal Atresia

History: 5 day old premature male infant delivered at gestational age 28+1 weeks by emergent C-section section due to fetal distress. Stabilized in NICU and on TPN.

Findings: • Abdomen, portable Portable frontal x-ray of abdomen demonstrates abnormal bowel gas pattern with large gastric bubble and no appreciable bowel gas in remainder of abdomen. • Abdomen, portable Air visualized within gastric bubble and terminates abruptly in proximal duodenum consistent with double-bubble sign. Dilated duodenal bulb indicates chronic obstruction. • Limited fluoroscopic upper GI series, pre-op Antegrade movement of contrast through pylorus to first part of duodenum with no further antegrade movement during study.

Ddx: Double bubble (by definition, no distal gas) is diagnostic of Duodenal Atresia, but if the obstruction were not complete, the following diagnoses would also merit consideration. Duodenal stenosis Duodenal obstruction secondary to annular pancreas Preduodenal portal vein Jejunal atresia with fluid in jejunum Malrotation with midgut volvulus

Dxhow: Surgery

Exam: Scaphoid abdomen with localized epigastric distention

No MeSH data available.